Variability in determining sepsis time zero and bundle compliance rates for the centers for medicare and medicaid services SEP-1 measure

doi:10.1017/ice.2018.134

. 2018 Aug;39(8):994-996.

doi: 10.1017/ice.2018.134. Epub 2018 Jun 22.

Variability in determining sepsis time zero and bundle compliance rates for the centers for medicare and medicaid services SEP-1 measure

Affiliations

¹ 1Department of Population Medicine,Harvard Medical School/Harvard Pilgrim Health Care Institute,Boston,Massachusetts.
² 2Department of Medicine,Brigham and Women's Hospital,Boston,Massachusetts.
³ 3Duke Center for Antimicrobial Stewardship and Infection Prevention,Duke University School of Medicine,Durham,North Carolina.
⁴ 4Department of Medicine,Duke University Medical Center,Durham,North Carolina.
⁵ 5Department of Medicine,Washington University School of Medicine,St Louis,Missouri.
⁶ 6Department of Quality and Safety,Brigham and Women's Hospital,Boston,Massachusetts.
⁷ 7Lawrence Center for Quality and Safety,Massachusetts General Hospital,Boston,Massachusetts.

PMID: 29932042
PMCID: PMC7977505
DOI: 10.1017/ice.2018.134

Variability in determining sepsis time zero and bundle compliance rates for the centers for medicare and medicaid services SEP-1 measure

Chanu Rhee et al. Infect Control Hosp Epidemiol. 2018 Aug.

. 2018 Aug;39(8):994-996.

doi: 10.1017/ice.2018.134. Epub 2018 Jun 22.

Affiliations

¹ 1Department of Population Medicine,Harvard Medical School/Harvard Pilgrim Health Care Institute,Boston,Massachusetts.
² 2Department of Medicine,Brigham and Women's Hospital,Boston,Massachusetts.
³ 3Duke Center for Antimicrobial Stewardship and Infection Prevention,Duke University School of Medicine,Durham,North Carolina.
⁴ 4Department of Medicine,Duke University Medical Center,Durham,North Carolina.
⁵ 5Department of Medicine,Washington University School of Medicine,St Louis,Missouri.
⁶ 6Department of Quality and Safety,Brigham and Women's Hospital,Boston,Massachusetts.
⁷ 7Lawrence Center for Quality and Safety,Massachusetts General Hospital,Boston,Massachusetts.

PMID: 29932042
PMCID: PMC7977505
DOI: 10.1017/ice.2018.134

Abstract

We compared sepsis "time zero" and Centers for Medicare and Medicaid Services (CMS) SEP-1 pass rates among 3 abstractors in 3 hospitals. Abstractors agreed on time zero in 29 of 80 (36%) cases. Perceived pass rates ranged from 9 of 80 cases (11%) to 19 of 80 cases (23%). Variability in time zero and perceived pass rates limits the utility of SEP-1 for measuring quality.

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Conflict of interest statement

Potential conflicts of interest: None of the authors have any conflicts to disclose.

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References

1. Centers for Medicare and Medicaid Services. QualityNet - Inpatient Hospitals Specifications Manual. https://www.qualitynet.org. Accessed March 19th, 2018.
1. Venkatesh AK, Slesinger T, Whittle J, et al. Preliminary Performance on the New CMS Sepsis-1 National Quality Measure: Early Insights From the Emergency Quality Network (E-QUAL). Ann. Emerg. Med 2018;71:10–15 e11. - PubMed
1. Barbash IJ, Rak KJ, Kuza CC, Kahn JM. Hospital Perceptions of Medicare’s Sepsis Quality Reporting Initiative. J. Hosp. Med 2017;12:963–968. - PMC - PubMed
1. Klompas M, Rhee C. The CMS Sepsis Mandate: Right Disease, Wrong Measure. Ann. Intern. Med 2016;165:517–518. - PubMed
1. Aaronson EL, Filbin MR, Brown DF, Tobin K, Mort EA. New Mandated Centers for Medicare and Medicaid Services Requirements for Sepsis Reporting: Caution from the Field. J. Emerg. Med 2017;52:109–116. - PubMed

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[1] Centers for Medicare and Medicaid Services. QualityNet - Inpatient Hospitals Specifications Manual. https://www.qualitynet.org. Accessed March 19th, 2018.

[2] Centers for Medicare and Medicaid Services. QualityNet - Inpatient Hospitals Specifications Manual. https://www.qualitynet.org. Accessed March 19th, 2018.

[3] Venkatesh AK, Slesinger T, Whittle J, et al. Preliminary Performance on the New CMS Sepsis-1 National Quality Measure: Early Insights From the Emergency Quality Network (E-QUAL). Ann. Emerg. Med 2018;71:10–15 e11. - PubMed

[4] Venkatesh AK, Slesinger T, Whittle J, et al. Preliminary Performance on the New CMS Sepsis-1 National Quality Measure: Early Insights From the Emergency Quality Network (E-QUAL). Ann. Emerg. Med 2018;71:10–15 e11. - PubMed

[5] Barbash IJ, Rak KJ, Kuza CC, Kahn JM. Hospital Perceptions of Medicare’s Sepsis Quality Reporting Initiative. J. Hosp. Med 2017;12:963–968. - PMC - PubMed

[6] Barbash IJ, Rak KJ, Kuza CC, Kahn JM. Hospital Perceptions of Medicare’s Sepsis Quality Reporting Initiative. J. Hosp. Med 2017;12:963–968. - PMC - PubMed

[7] Klompas M, Rhee C. The CMS Sepsis Mandate: Right Disease, Wrong Measure. Ann. Intern. Med 2016;165:517–518. - PubMed

[8] Klompas M, Rhee C. The CMS Sepsis Mandate: Right Disease, Wrong Measure. Ann. Intern. Med 2016;165:517–518. - PubMed

[9] Aaronson EL, Filbin MR, Brown DF, Tobin K, Mort EA. New Mandated Centers for Medicare and Medicaid Services Requirements for Sepsis Reporting: Caution from the Field. J. Emerg. Med 2017;52:109–116. - PubMed

[10] Aaronson EL, Filbin MR, Brown DF, Tobin K, Mort EA. New Mandated Centers for Medicare and Medicaid Services Requirements for Sepsis Reporting: Caution from the Field. J. Emerg. Med 2017;52:109–116. - PubMed

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Variability in determining sepsis time zero and bundle compliance rates for the centers for medicare and medicaid services SEP-1 measure

Affiliations

Variability in determining sepsis time zero and bundle compliance rates for the centers for medicare and medicaid services SEP-1 measure

Authors

Affiliations

Abstract

Conflict of interest statement

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